ACCEPTABILITY OF A REMINISCENCE THERAPY TABLET APP: IMPACT ON RESIDENTIAL CARE STAFF OF PERSONS LIVING WITH DEMENTIA

Abstract With dementia prevalence rapidly on the rise and no viable pharmacological treatments currently available, the development of accessible, efficacious, and low-cost non-pharmacologic interventions for persons living with dementia (PLWD) has become critical. Reminiscence therapy (RT) and life story can be built into residential care provision to provide person-centered solutions that elicit conversation, engagement, and socialization with staff. RT tools can also help inform care staff about residents’ lives and preferences to provide higher quality and meaningful interactions. This paper details the development and evaluation of LifeBio Memory, a tablet application designed to record the life stories and care preferences of PLWD in residential care communities. Care staff (n = 60) from 10 communities in Ohio, including memory care, assisted living and nursing homes, were trained to implement LifeBio Memory in their organizations. A pre-post design was used with staff, mainly comprised of life enrichment, administration, social work, rehab, and direct care staff. Outcomes presented include but will not be limited to: 1) acceptability, feasibility, and satisfaction with the tablet app, 2) staff knowledge of resident care preferences and interests, 3) utilization of person-centered care practices, 4) quality of communication between the resident and themselves and other staff, 5) their current understanding of that resident’s life history, and 6) level of tension and frustration with the resident. Discussion will focus on the need for sustainable RT interventions that promote person-centered care for PLWD and ways in which technological advancements can be integrated into residential care staff workflow.

The Chinese University of Hong Kong, Hong Kong, Hong Kong When adult children migrate from households, older parents face two options: migrate with children or remain in place ("left behind").However, it remains unclear which option is better for older adults' psychological well-being.With the data from China Health and Retirement Longitudinal Survey (CHARLS) at the wave of 2015 and 2018 (N = 4989), this study examined the longitudinal changes in depression and life satisfaction among older locals (those who did not migrate and lived with their children), migrants and left-behinds, and the impacts of children support and social support on the well-being of older parents.Results showed that there was an increase in depression level among the left-behind older adults from 2015 to 2018, but this was not found among the migration group or the local group.Furthermore, the left-behind group reported a higher level of depression than the local group and migration group, and this difference was accounted by the time of living with children, but not social activities.In addition, the time of living with children was positively associated with life satisfaction among the left-behind group, and this association was not observed among the migration group or the local group, suggesting the salutary effect of children's support among the left-behind group.These results highlight the adverse effect of being left behind among older adults and the importance of children's support for left-behind older adults.

NEW DIRECTIONS IN GERONTOLOGICAL THEORY, METHODOLOGY, AND TRANSLATIONAL RESEARCH
Abstract citation ID: igad104.2172

ACCEPTABILITY OF A REMINISCENCE THERAPY TABLET APP: IMPACT ON RESIDENTIAL CARE STAFF OF PERSONS LIVING WITH DEMENTIA
Silvia Orsulic-Jeras 1 , Ashlee Cordell 1 , Sara Powers 1 , Farida Ejaz 1 , and Lisbeth Sanders 2 , 1. Benjamin Rose Institute on Aging,Cleveland,Ohio,United States,2. LifeBio,Marysville,Ohio,United States With dementia prevalence rapidly on the rise and no viable pharmacological treatments currently available, the development of accessible, efficacious, and low-cost nonpharmacologic interventions for persons living with dementia (PLWD) has become critical.Reminiscence therapy (RT) and life story can be built into residential care provision to provide person-centered solutions that elicit conversation, engagement, and socialization with staff.RT tools can also help inform care staff about residents' lives and preferences to provide higher quality and meaningful interactions.This paper details the development and evaluation of LifeBio Memory, a tablet application designed to record the life stories and care preferences of PLWD in residential care communities.Care staff (n = 60) from 10 communities in Ohio, including memory care, assisted living and nursing homes, were trained to implement LifeBio Memory in their organizations.A pre-post design was used with staff, mainly comprised of life enrichment, administration, social work, rehab, and direct care staff.Outcomes presented include but will not be limited to: 1) acceptability, feasibility, and satisfaction with the tablet app, 2) staff knowledge of resident care preferences and interests, 3) utilization of person-centered care practices, 4) quality of communication between the resident and themselves and other staff, 5) their current understanding of that resident's life history, and 6) level of tension and frustration with the resident.Discussion will focus on the need for sustainable RT interventions that promote person-centered care for PLWD and ways in which technological advancements can be integrated into residential care staff workflow.

ADAPTING AUTOETHNOGRAPHY TO EXPLORE CULTURAL AND GENERATIONAL DIFFERENCES ON AGING
Mohammad Hossain, and Natalie Pope, University of Kentucky, Lexington, Kentucky, United States This presentation uses adapted autoethnography to explore cultural and generational differences on aging identity and care for older adults.Our presentation is based on an oral history of Virginia Bell, a gerontological social worker and dementia expert who developed an innovative model of dementia care known as the Best FriendsTM approach (Bell & Troxel, 2012;2016).Through several in-depth interviews, this oral history project created space for conversation across generations -discussions between two cisgender white women, both social workers and gerontologists.At age 98, Bell reflected on people and experiences that shaped her perspective on caring for people with dementia from a person-centered, relational approach.The interviewer, in her mid-40s, assumed a co-interpreter role with Bell, documenting her childhood and formative years, as well as what informed her approach to caring for people with dementia.In this presentation, we bring a third voice into the conversation.During data analysis, a first-year graduate student was invited to help code and analyze Bell's interview transcripts.As a novice gerontologist and social worker from Bangladesh, this cisgender male in his 40s shares his reactions to Bell's oral history interviews.Specifically, this autoethnographyinspired presentation examines cultural and generational differences on aging identity and cultural norms on care for older adults.We compare and contrast the personal/ professional experiences of Bell and this Bangladeshi student while situating their reflections in extant literature.This project highlights the utility of autoethnography to systematically analyze individuals' experiences with aging embedded in a larger social and cultural context.

CHANGES IN DRIVER'S LICENSE STATUS AMONG MID-AGED AND OLDER CANADIANS OVER THREE YEARS
Arne Stinchcombe 1 , Shawna Hopper 2 , Sylvain Gagnon 1 , and Michel Bedard 3 , 1. University of Ottawa,Ottawa,Ontario,Canada,2. Simon Fraser University,Vancouver,British Columbia,Canada,3. Lakehead University,Thunder Bay,Ontario,Canada For older people, driving may contribute to health and quality of life.Conversely, driving cessation is associated with negative outcomes, including poor physical and